Finance & Business Operations Manager

About Latent

Latent is the enterprise pharmacy intelligence platform. Our clinical AI streamlines prior authorizations, appeals, and 340B compliance, so patients start therapy faster and care teams spend less time on paperwork.

We raised an $80M Series A led by Spark Capital and Transformation Capital, with General Catalyst, McKesson Ventures, Conviction, and Y Combinator. 60+ health systems run on Latent, including Yale New Haven, Mount Sinai, UCSF, and Ochsner. We move fast, operate with high ownership, and build products that directly improve patient care.

The Role

Latent is hiring a Finance & Business Operations Manager to own the systems that keep the company running: our books, our billing, our spend, our insurance, and our payroll and expense operations. You will be the person who makes sure money moves accurately, on time, and with the right controls behind it.

This is a hands-on ownership role, not an oversight role. You will work in QuickBooks, Brex, and Rippling directly, and you will design the policies and processes around them. You will partner closely with our strategic finance function—they build the model and the forecast; you own the operational reality that feeds it.

On any given day, you might reconcile a month-end account, issue a batch of customer invoices, chase a receivable, review expense reports, renegotiate a software renewal, or work through an insurance renewal with our broker.

What You’ll Do

Accounting and the books

• Own day-to-day bookkeeping in QuickBooks Online, including categorization, reconciliations, and chart-of-accounts hygiene

• Run or support month-end close, including accruals, prepaids, and account reconciliations

• Keep financial records accurate, organized, and audit-ready

• Maintain the chart of accounts, classes, and departments so reporting stays meaningful as we grow

• Coordinate with external accounting, bookkeeping, and tax partners

Invoicing and accounts receivable

• Own customer invoicing end to end, including recurring, milestone, and usage-based billing

• Ensure invoices are accurate, properly coded, and issued on schedule

• Track receivables, follow up on outstanding balances, and manage collections

• Resolve billing questions and discrepancies with customers and internal stakeholders

• Partner with Sales and Customer Success so contract terms flow correctly into billing

Accounts payable, corporate cards, and spend management

• Administer Brex: card issuance, spend limits, approval flows, receipt compliance, and reporting

• Review vendor bills for accuracy, proper approval, and correct coding

• Manage payment runs, track payment status, and resolve vendor discrepancies

• Own vendor onboarding, renewals, purchasing workflows, and contract records

• Maintain visibility into software subscriptions and other recurring commitments, and identify savings opportunities

• Evaluate vendors and negotiate commercial terms

• Partner with budget owners to ensure purchases are appropriate, approved, and within budget

Personnel expense and payroll operations

• Own employee expense management: policy, submission workflows, review, and reimbursement

• Support payroll processing in Rippling, including off-cycle runs, and ensure accurate GL mapping into QuickBooks

• Maintain employee records and support onboarding, offboarding, and benefits administration workflows

• Serve as the first point of contact for employee questions on expenses, reimbursements, and payroll

• Partner with People and leadership so compensation changes flow correctly into payroll and the books

• Handle confidential compensation and employee data with consistently sound judgment

Insurance and business administration

• Own company business insurance: renewals, broker relationships, coverage reviews, and certificate-of-insurance requests

• Ensure coverage keeps pace with headcount, customer contracts, and our risk profile

• Maintain corporate records, state registrations, and business licenses

• Support customer and partner requests for insurance, tax, and compliance documentation

Building the operations function

• Identify manual or inefficient processes and replace them with better systems and controls

• Document financial and operational policies, approval thresholds, and operating procedures

• Help select and implement finance and operations tools as the company grows

• Take ownership of new operational priorities as they arise

What We’re Looking For

• 3–6 years of experience in accounting operations, finance operations, business operations, or startup G&A

• Hands-on ownership of QuickBooks Online or a comparable general ledger—not just reviewing someone else’s work

• Direct experience running accounts payable, accounts receivable, and expense workflows

• Familiarity with corporate card and spend platforms (Brex, Ramp, or similar) and HR/payroll systems (Rippling, Gusto, Justworks, or similar)

• Excellent attention to detail and a high standard for accuracy

• Advanced proficiency with Excel or Google Sheets

• Strong organizational and project-management skills, with comfort owning recurring deadlines

• Clear, thoughtful communication with colleagues, vendors, and external partners

• A proactive, low-ego approach and willingness to take ownership

• Comfort operating in a fast-changing environment with incomplete information

What Success Looks Like

Within your first year, you will have:

• Closed the books accurately on a predictable monthly cadence

• Made invoicing and collections run on schedule, with receivables actively managed

• Given company leaders clear visibility into vendor spend, subscriptions, and card activity

• Established a documented expense and procurement policy that the team actually follows

• Reviewed, right-sized, and renewed insurance coverage without a last-minute scramble

• Made payroll and reimbursements reliable, with employees getting fast, accurate answers

• Built operational processes documented well enough to scale or hand off

Nice to Have

• Experience working at an early-stage or rapidly growing technology company

• Experience through a full month-end close, an audit, or a finance systems migration

• Experience managing business insurance renewals or working directly with brokers

• Exposure to multi-state payroll and payroll compliance

• Experience with procurement or spend-management systems

• Interest in healthcare, pharmacy operations, or health technology

Why Join Latent

• Backed by top-tier investors including General Catalyst, Conviction, and Y Combinator

• Work alongside a high-caliber team building products our healthcare partners love

• Work on mission-critical problems at the intersection of AI and healthcare

• Real ownership and visibility

• High-impact role on a small, fast-growing team

Benefits

• Competitive compensation, including meaningful equity

• Medical, dental, and vision insurance for employee and dependents

• Flexible PTO policy

• Paid parental leave

• Fertility and family-building stipend through Carrot